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Monthly Archives

December 2016

What are Medicaid’s Asset Transfer Rules?

By Asset Protection Planning, Government Benefits, Medicaid Planning

Transferring one’s assets prior to applying for Medicaid can create several problems. The government does not want individuals transferring all of their assets to children and relatives in order to qualify for Medicaid. Thus, Congress has put in place rules and penalties for transferring assets.

Some transfers that are deemed inappropriate by Medicaid include refusing to take an inheritance that is left to you, adding a person’s name to an asset, selling an asset for less than its fair-market value, and purchasing non-Medicaid compliant annuities.

The penalty period is determined by dividing the amount transferred by the average private cost of a nursing home in your state, so determined by Medicaid.

When applying for Medicaid, individuals must disclose all transactions during a period of time called the “look-back period.” As of 2005, the Deficit Reduction Act increased this period from 3 to 5 years.

Recipients of financial transfers who are exempt from Medicaid penalties include a spouse, a disabled child, a trust for the benefit of a disabled child, and a trust for a disabled individual under 65. And exemptions also apply to the transfer of a home. You may transfer your home without the fear of penalties to your spouse, a child under the age of 21 who is disabled, a sibling who has lived in the home and holds an equity interest, and a “caretaker child.” A caretaker child is a child of the applicant who lived in the house for at least 2 years prior to the applicant’s nursing institutionalization and provided care for the applicant.

Please contact our office to schedule an initial consultation for any of your Medicaid Planning, Estate Planning, or Veterans Benefits needs.

Digital assets act grants personal representatives access to digital data

By Asset Protection Planning, Elder Law, Estate Planning

Senate Bill 494, also known as the Florida Fiduciary Access to Digital Assets Act, took effect July 1, 2016. The act allows fiduciaries to manage digital assets and communications in the same way one would with tangible assets.

Digital data includes emails, photos, social media content, and online account information.

The four types of fiduciaries that this bill applies to are personal representatives; guardians of minors or incapacitated persons; agents under the authority of a power of attorney; and trustees. Fiduciaries must provide evidence of their authority under Florida law.

The bill does not extend access to digital data to family members or loved ones who aren’t fiduciaries. Also, the act does not grant the fiduciaries the right to own the asset; it only allows them to access it.

By granting fiduciaries access to digital assets while you are competent, you can properly protect and plan for your assets.

Preventing financial institutions from refusing to honor POA’s

By Asset Protection Planning, Elder Law, Estate Planning

In the last blog, we discussed the issue of financial institutions refusing to honor powers of attorney and making clients sign their own institutions’ legal forms.

In order to prevent this from occurring, here are some suggested steps to take:

  • Draft your durable power of attorney with a trusted and experienced Florida elder law attorney who will prepare comprehensive documents for you.
  • Show your DPOA to your financial institution to ensure that it will accept the document in the future. Make sure to have this agreement signed and in writing. If the institution does not approve of the DPOA, go back to your attorney for assistance.
  • If the institution is difficult to work with, ask your elder law attorney to speak with them or move your assets to a new financial institution.

While it is important to have a durable power of attorney, it is also critical to take the extra steps to ensure that it will be honored at other institutions. If you have more questions on this topic or wish to prepare end-of-life documents, contact our office at (941) 906-1231 to schedule an appointment with one of our attorneys.

Financial institutions refusing to honor POA’s

By Asset Protection Planning, Elder Law, Estate Planning

In a recent New York Times article titled “Finding Out Your Power of Attorney Is Powerless,” the author discusses an issue that frustrates families and elder law attorneys alike —financial institutions refusing to honor powers of attorney. Some banks and brokerage firms have reportedly failed to accept powers of attorney out of fear of elder exploitation or concerns over liability.

Due to these reasons, the financial institutions have required their clients sign new forms with their institution. The banks have reportedly argued that some power of attorney documents were signed too long ago (“stale”) or even that it lacks the proper language.

Florida’s Durable Power of Attorney Act includes provisions aimed at preventing banks and financial institutions from refusing to honor a power of attorney, although they may legally require an opinion of counsel from a Florida lawyer that the document is valid.

The attorneys at Bach & Jacobs, P.A. can assist you in both the creation and enhancement of a durable power of attorney to ensure that it complies with Florida law.

Death with Dignity: Appointing a Health Care Surrogate

By Estate Planning

For individuals who believe they have a right to die on their own terms, there are certain ways to set up end-of-life documents to reflect your wishes and values. Despite being a resident in states like Florida, which do not have laws legalizing assisted suicide for terminally ill patients, residents can create living wills and appoint health care surrogates to act in their interests if they wish to have life-prolonging treatment withheld in certain situations. If you believe in the right to die, there are a few things you should discuss with your appointed surrogate.

You and your health care surrogate should have a conversation about your values. Because your surrogate has the authority to make decisions for you when you are incapacitated, it is imperative that he or she knows how to act in your interest. You should also discuss life-sustaining treatments, and when and how you wish to use or withhold them. Lastly, your surrogate should have a copy of your living will in order to guide decision-making.

Your surrogate should be comfortable answering several medical questions. Make sure to discuss hypothetical medical situations such as the occurrence of a stroke, head injury, or progressive debilitating disease. Also, the surrogate should know whether you want to receive artificial nutrition and fluids, resuscitation attempts, or other life-sustaining treatment.

If you have further questions on this topic or wish to set up end-of-life documents, contact our office at (941) 906-1231 to schedule an appointment with one of our attorneys.

Special Needs Trust Fairness Act

By Asset Protection Planning, Government BenefitsNo Comments

Yesterday a historic bill was signed into law by President Obama.  It allocates over $1 billion to fund Alzheimer’s research to find a cause and a cure, and methods of prevention.  Since so many of our elderly we serve and their families are devastated by this terrible disease, we have been given hope that the necessary amount of attention has been given by this bipartisan legislation to address this issue which left unchecked, could overwhelm our institutional care programs and service delivery infrastructure.

In addition it immediately gives a disabled individual, who is legally competent, the right to establish their own self- funded d4A Special Needs Trust.  This is a trust which exempts assets from being considered by Medicaid.  However all self- settled special needs trust are subject to a Medicaid payback on the death of the beneficiary.  This will end the foolish waste of time getting an elderly parent or a court to establish an individual SNT for a person who could do so himself or herself, but for the mistake made in the original OBRA ’93 act that left out the word “individual.”

If you have further questions on this topic please contact our office at (941) 906-1231 to schedule an appointment with one of our attorneys.

Death with Dignity: How do I withhold life-prolonging treatment in my end-of-life documents?

By Estate Planning, Long-Term Care

With the technological and medical advancements of the 21st century, life-sustaining treatment in end-of-life care has become more widespread and affordable. However, many individuals are against the idea of being kept alive by artificial means, especially when suffering from a terminal ailment. For those who are against such treatment, there are ways to withhold life-prolonging treatment in end-of-life planning documents.

Living Will

Crafting a living will allows you to communicate your wishes for end-of-life care. In this document, it is important to specify whether you plan on using life-prolonging treatment when you are incapacitated or denying the treatment.  Your doctors and family are required to honor the document.

Health Care Surrogate

Also sometimes referred to as a healthcare proxy, healthcare agent, and attorney-in-fact, your healthcare surrogate is responsible for making medical decisions for you when you are unable to do so yourself. By appointing a trusted health care surrogate, you can ensure that if you are temporarily or permanently incapacitated and unable to give informed consent, you will not be given life-prolonging treatment. The health care surrogate is only authorized to make medical decisions and does not have the capacity to access and use your funds unless you provide for that in another kind of document. It is important that you meet with your surrogate and clearly communicate your wishes and values so he or she can make the best decisions for you if need be.

It is wise to both draft a living will and appoint a health care surrogate. Your health care surrogate can use the living will as a guide in making decisions, including large decisions such as continuing or ending medical treatment. Also, if for some reason your health care surrogate is unavailable to advocate for you, your living will can help guide other caregivers.

If you have further questions on this topic or wish to set up end-of-life documents, contact our office at (941) 906-1231 to schedule an appointment with one of our attorneys.

Death with Dignity: Using Advance Directives

By Elder Law, Estate Planning

While the debate about proposed death with dignity laws continues in Florida, it is important to know that current Florida law prohibits assisted suicide, which is allowed in several other states. However, there are still ways that you can have autonomy in directing your own medical care within the parameters of Florida law. In a living will document or advance directive, you can specify your refusal of life-sustaining treatments such as feeding tubes, chemotherapy, and artificial nutrition. Doctors, caregivers, and other health care providers are required to honor these documents.

If you have further questions about this topic or setting up your end-of-life documents, contact one of our experienced estate planning attorneys at (941) 906-1231.

Death with Dignity in Florida

By Elder Law, Estate Planning

A movement that is spreading throughout this country is the death with dignity initiative, or laws that allow terminally ill patients to use prescribed medications to end their lives on their own terms. Also known as the right to die, death with dignity is only legal in Washington, Oregon, California, and Vermont. Although Florida and several other states have not adopted such laws, there are still ways to direct your own end-of-life medical care.

The death with dignity movement is a controversial one. Advocates posit that the laws minimize suffering for terminally ill patients, grant individuals authority, and lessen the burden on family, friends, and caregivers. Opponents of death with dignity believe that some patients could be pressured into making the decision, the regulatory authority over who can administer the pills is too lax, and the cheap cost of the assisted suicide could improperly affect the decision-making of doctors and patients.

This week, we’ll be blogging about what options you have as a Florida resident with regard to end-of-life planning.

Assisted living residents receive support from Medicaid

By Long-Term Care, Medicaid Planning

Unlike nursing homes, assisted living facilities are housing options for individuals who are able to live independently but need some assistance. Another distinction between the two is that there is no requirement that Medicaid pay for assisted living facilities. But as of May 2016, 46 states and Washington D.C. have provided some sort of assistance to assisted living residents.

According to the website Paying for Senior Care, Florida has eliminated Home and Community-Based Waivers (HCBS Waivers) and now covers assisted living through the Statewide Managed Medicaid Care – Long Term Care.